Individual
MR. DIRK WALTER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-5222
Mailing address
2025 W EL CAMINO AVE APT 262, SACRAMENTO, CA 95833-1430
(916) 320-3720
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN151825
CA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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